Healthcare Provider Details

I. General information

NPI: 1013871888
Provider Name (Legal Business Name): NEEL VIRENDRABHAI PATEL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 N 11TH AVE
HANFORD CA
93230-4590
US

IV. Provider business mailing address

2143 CHARDONNAY PL
HANFORD CA
93230-9055
US

V. Phone/Fax

Practice location:
  • Phone: 559-772-3418
  • Fax:
Mailing address:
  • Phone: 916-900-6335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number112546
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: